Delta Air LinesDelta Air Lines is the latest employer groupto select a dental benefits program thatincludes the DeCare Dental network as an option. Delta Air Lines employees willhave the option to choose this program effective January 1, 2011.

Why did Delta Air Lines choose to sponsorthe DeCare Dental program as an option forits employees? Delta Air Lines was lookingfor innovative ways to enhance their dentalbenefits, with the primary objective of providingemployees and their families’ access to quality dental care at an affordable cost.

Open enrollment for Delta Air Lines employees will take place in October 2010.As a participating DeCare Dental networkdentist, your office will be listed as a participating dentist for Delta Air Linesemployees who select this option.

As you know, the greatest dental value isdelivered by dentists like you who considereach patient’s unique oral health needs whendeveloping a treatment plan. This patient-centered approach to dentistry is the reasonwe originally invited you to participate in ournetwork, and it’s the reason Delta Air Lineshas chosen this program as an option for itsemployees.

Your claim submission history demonstratesthat you base your treatment decisions oneach patient’s unique oral health needs,which is good for oral health and also deliversthe greatest long-term value. That is why the DeCare Dental program in which youparticipate is a fee-for-service program with a highly competitive fee schedule.

DeCare Dental would like to again thankyou for your participation in this program,and we appreciate the care and value youwill bring to Delta Air Lines employeeswho choose this option!

SUMMER/FALL 2010

INSIDE THIS

ISSUE:

HOW CAN OUR WEBSITE HELP YOUR

OFFICE?

NINE WAYS WE MAKEOUR DENTISTS' LIVES

EASIER

CDT 2011

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CDT 2011DeCare Dental has placed theClaims Administration Guidelines(Guidelines) on our websitewww.decaredental.com thatreflects data code set requirementsset forth under the AdministrativeSimplification Provisions of theHealth Insurance Portability andAccountability Act of 1996 (HIPAA).It is the policy of DeCare Dental tocomply with these requirements.Please feel free to print theGuidelines and keep them in a convenient location for easy access.If you would like a hard copy of theGuidelines and are unable to printthem, please contact a NetworkRepresentative at 1-800-658-4187.

The American Dental Association(ADA) has finalized the code set,identified as CDT 2011. We recommend you obtain a copy of the CDT 11 code set from the ADA,as it will identify new codes as well

as code revisions. DeCare encouragesall dentists to refer to their copy ofthe ADA CDT 2011 manual for specific code information.

In all cases, specific group contractprovisions, limitations and exclusionstake precedence over the ClaimsAdministration Guidelines. Sincecertain contractual items (e.g. timelimits, frequency of procedures, agelimits, etc.) can vary among groups,they have not all been listed withtheir associated procedure codes.Therefore this document should notbe interpreted as comprehensiveand encompassing all possible limitations and exclusions. Dental offices should contactDeCare Dental’s Customer Serviceto determine the specific limitationsand exclusions for each group.

Nine Ways We MakeOur Dentists' LivesEasier1.Swift claims processing. We process more than

98 percent of claims within 10 business days, which is significantly better than the industry average. In fact, in 2009 we processed the averageclaim in 1.59 days.

2.Accurate, weekly payment. We have a greater than 99 percent claim payment accuracy rate. (Our actual performance in 2009 was 99.93 percent.) We send payment to your office directly, every week. No need for you to follow up on bills or worry about assignment of benefits.

3.Competitive reimbursement. Not only do we pay you promptly and predictably—we pay you on a fee-for-service basis that compares well with other networks.

4.Excellent customer service from an experienced staff. If you ever have a claim question, we're easy to reach. Customer Service representatives are available five days a week.

5.Large potential patient base. DeCare Dental administers dental benefits for millions of individualsthrough some of the nation's largest dental plans and corporations. Many of these individuals have afinancial incentive to use dentists in our national network.

6.One contract, multiple plans. Because our network serves multiple dental plans, the process will be simplified through consistency of proceduresand payment across several plans.

7.Non-exclusivity. This allows you to participate in other dental programs.

8.Gain and retain patients. Your participation allowsyou to gain and add to your patient base due to DeCare Dental’s marketplace success.

9. Invitation-only network. DeCare Dental admires dentists with a patient-centered approach to dentistry and we only invite dentists who practice in that manner to be part of our network.

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How Can Our Website Help You?DeCare Dental Networks provides dental offices access to useful information about members through our website. By visitingwww.decare.com, you can find:

• Oral health information• Frequently asked questions• Forms and literature• Verification and eligibility

You can also go to www.decare.com/ddnoffice for information about DeCare Dental Networks National Network, including:

• Contracting information• Administrative office guide• List of participating specialists• Past issues of The Office Link newsletter• Contact information for DeCare Dental Networks • Additional information that may be helpful to your dental office

If you register on www.decare.com, you will also gain access to Benefit Verification, Patient Eligibility, Web Claims Submission and Claims Submission History. If you submit claims online, you can submitattachments through the website, even if claims are submitted through an automated clearing house. It’s easy to register. Just visitwww.decare.com. On the Dentists tab, visit the Sign In section from the drop down menu. On the Sign In page, select Set Up a New User Account.Contact us at 1-800-658-4187 or e-mail us at ddn@decare.com.

Staff CommitmentThe DeCare Dental staff is committed to offering the highest level of customerservice and has representatives available to take your calls Mondaythrough Friday.

The Professional Services Network staff is here to help you with issuesrelated to network membership, contractterms, reimbursement and contractcompliance. Our goal is to ensure dentists and their staff understand thedetails of the dental plan and to assistyou with any questions you may haveregarding network participation, addingor changing a location, adding or losinga dentist or reimbursement. If you have any questions, contact us at 1-800-658-4187.

P.O. Box 1175Mpls, MN 55440-1175

The Office Link is published for dentists participating in DeCare Dental Networks National Networks. Article ideas and questions from readers are welcome. Please contact Heather Hofmeister, Editor, at hhofmeister@decare.com.

DeCare Dental Networks National Network Quick Guide

Purpose Contact

General Info: National Dentist Professional Services’ National Network Networks Representatives: 1-800-658-4187

General Information Regarding Customer Service: 1-800-587-6857Claims, Member Eligibility Verification, Network Specialists and Member Questions

Mail Claims/Pre-Estimates DDHIP.O. Box 1348Minneapolis, MN 55440-1348

Mail Provider Info/Change DDN National Networkof Address P.O. Box 1175

Minneapolis, MN 55440-1175

The Professional Services staff at DeCare Dental is committed to building a long-term relationship with contracted dentists. We offer the highest level of customer service and have representatives available to take your calls Monday through Friday. If you happen to leave a message, we will return your call within 24 hours.

Tips and RemindersIn order for a claim to be paid to the correct dentist in an accurate and efficient manner, please remember the following important items.

Billing Address: The billing address must match the address thatwas submitted by the billing dentist on their DeCareDental Networks application.

Electronic Claims Submission: Submitting claims electronically is easy and efficient. When submitting claims electronically, use the submission code 07035 (also called apayor ID). If you need a copy of the Electronic Claims Submission Guide, please call a DeCareDental Networks Representative at 1-800-658-4187.

When filing claims, don’t forget to submit theoffice's Usual & Customary (UCR) charges.

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